Sustainable Communities Regional Planning Grant Program

Office of Sustainable Housing and Communities NOFA Rating Factor Forms

Factor Forms 051810.dotx

Sustainable Communities Regional Planning Grant Program

OMB: 2501-0024

Document [docx]
Download: docx | pdf

U.S. Department of Housing and Urban Development

Office of Sustainable Housing and Communities

Rating Factor – Form OMB Approval Number: 2501-XXXX

Expiration Date: xx/xx/xx

Factor I – Capacity of the Applicant and Relevant Organizational Experience

  1. Key Personnel

  2. Partners

  1. Key Personnel

Name and Position Title (please include the organization position titles in addition to those shown)

Percent of Time Proposed for this Grant

Percent of Time to be spent on other HUD grants

Percent of time to be spent on other activities

1.1 Overall Project Director

Name:      

     

     

     

Organization Position Title:      

Address:      

City:      

State:      

Zip Code:      

Phone Number:      

Fax Number:      

Email:      

1.2 Day-to-Day Program Manager

Name:      

     

     

     

Organization Position Title:      

Address:      

City:      

State:      

Zip Code:      

Phone Number:      

Fax Number:      

Email:      

1.3 Other

Name:      

     

     

     

Organization Position Title:      

Address:      

City:      

State:      

Zip Code:      

Phone Number:      

Fax Number:      

Email:      

  1. Partners

Name and contact information

Description of Commitment

Proposed Activities to be Conducted by Partner

Resource and leveraged resource commitment ($ value for services)

Name:      

     

     

     

Organization Position Title:      

Sub-recipient: Yes No

Address:      

Phone Number:      

Email:      

Name:      

     

     


     

Organization Position Title:      

Sub-recipient: Yes No

Address:      

Phone Number:      

Email:      

Name:      

     

     

     

Organization Position Title:      

Sub-recipient: Yes No

Address:      

Phone Number:      

Email:      

Name:      

     

     

     

Organization Position Title:      

Sub-recipient: Yes No

Address:      

Phone Number:      

Email:      


Factor 2 – Need and Extent of the Problem

  1. Housing Costs

  1. Economic Opportunity

  1. Environmental Quality

  1. Fresh Food Access

  1. Transportation Access

  1. Healthy Communities

  1. Socioeconomic Inequity



  1. Housing Costs


    1. Median Regional Housing Prices Relative to Household Income

1.2 Proportion of Regional Population Paying More than 45% of Income to Combined Housing and Transportation Costs

YEAR

median regional

rental

prices


median regional household income

rent to income

ratio

median housing to income

ratio

Location

regional housing and transportation cost

regional income level

portion spending more than 45% of Income

1990

     

     


     

Region-wide

     

     

     

2000

     

     


     

Community 1

     

     

     

2008

     

     


     

Community 2

     

     

     


     

     


     

Community 3

     

     

     

Source:

http://www.hud.gov/sustainability

Source:

http://htaindex.cnt.org/

Date Documented:      

Date Documented:      

  1. Environmental Quality


2.1 Urbanized Land per Capita

2.2 Total Miles of Distribution of Water Infrastructure per Population Served

YEAR

urbanized land

(acres)

population of region

urbanized land per capita

year

miles of distribution of water infrastructure

population of region

water distribution service population

miles of distribution of water infrastructure per population served


1990


     

     


1990


     

     


     

2000

     

     


2000


     

     


     

2008

     

     


2008


     

     


     


     

     



     

     

     



     

     


Source:

http://www.hud.gov/sustainability

Source:

Public Utilities; http://www.hud.gov/sustainability

Date Documented:      

Date Documented:      

  1. Transportation Access

    1. Vehicle Miles Traveled per Capita

    1. Portion of Regional Trips:
      Automobile, Transit, Walking, and Bicycling

Year

total road mileage (all modes)

vehicle miles traveled

vehicle miles traveled per capita


Years

Automobile

Transit

Walking

Bicycling

trips

% of total

trips

% of total

trips

% of total

trips

% of total

1990


     

     

     

2000


     


     

     

1990


     

     

     

     

     

     

     

     

2009

     

     

     

2000


     

     

     

     

     

     


     

     


2010


     

     

     

     

     

     

     

     


Total


     

     

     

     

     

     

     

     

Source:

http://www.hud.gov/sustainabitly

Source:

http://www.hud.gov/sustainabitly

Date Documented:      

Date Documented:      

  1. Socioeconomic Inequity

4.1 Segregation by County


County Name

2009 Black/White

Dissimilarity Index

2009 Asian/White

Dissimilarity Index

2009 Hispanic/White

Dissimilarity Index

1

     

     

     

     

2

     

     

     

     

3

     

     

     

     

4

     

     

     

     

5

     

     

     

     



4.2 School Lunch Eligibility


County Name

2009 Black/White

Dissimilarity Index

2009 Asian/White

Dissimilarity Index

2009 Hispanic/White

Dissimilarity Index

1


     

     

     

2


     

     

     

3


     

     

     

4


     

     

     

5


     

     

     

Source: http://www.s4.brown.edu/cen2000/SchoolPop/SPDownload.html; http://www.nces.ed.gov/ ; instructions at http://www.hud.gov/sustainabitly

Date Documented:      

  1. Economic Opportunity

5.1 Availability of Subsidized Affordable Housing near Employment Centers
(Note: please list the five largest employers and the housing conditions related to it)

employment center (name / SIC designation)

# of employees

number of housing units within 2 miles of the employment center

% of housing near employment center that is subisdized

1

     

     

     

     

2

     

     

     

     

3

     

     

     

     

4

     

     

     

     

5

     

     

     

     

Source: Local Economic Development Departments, Offices of Housing.


Date Documented:     


  1. Fresh Food Access

6.1 Proximity of Full-Service Grocery Stores for Low-Income and Auto-Dependent Households


% households with no car and > 1 mile to grocery store

% low-income people living > 1 mi to grocery store




Regional Average






County 1






County 2






County 3






County 4






County 5






Source : http://www.ers.usda.gov/foodatlas/

Date Documented:      

  1. Healthy Communities


7.1 Prevalence of Preventable Disease

County:      

Race:


White

Native American

African American

Hispanic

Asian American/

Pacific Islander

Other

Indicator

Incidence

Per 1000

Incidence

Per 1000

Incidence

Per 1000

Incidence

Per 1000

Incidence

Per 1000

Incidence

Per 1000

Asthma hospitalization

     

     

     

     

     

     

Childhood Obesity

     

     

     

     

     

     

Diabetes

     

     

     

     

     

     

Heart Disease

     

     

     

     

     

     

Lead Poisoning

     

     

     

     

     

     

Low birth weight

     

     

     

     

     

     

Source : County and State Health Departments also http://www.communityhealth.hhs.gov

Date Documented:      




County:      

Race:


White

Native American

African American

Hispanic

Asian American/

Pacific Islander

Other

Indicator

Incidence

Per 1000

Incidence

Per 1000

Incidence

Per 1000

Incidence

Per 1000

Incidence

Per 1000

Incidence

Per 1000

Asthma hospitalization

     

     

     

     

     

     

Childhood Obesity

     

     

     

     

     

     

Diabetes

     

     

     

     

     

     

Heart Disease

     

     

     

     

     

     

Lead Poisoning

     

     

     

     

     

     

Low birth weight

     

     

     

     

     

     

Source : County and State Health Departments

Date Documented:      


County:      

Race:


White

Native American

African American

Hispanic

Asian American/

Pacific Islander

Other

Indicator

Incidence

Per 1000

Incidence

Per 1000

Incidence

Per 1000

Incidence

Per 1000

Incidence

Per 1000

Incidence

Per 1000

Asthma hospitalization

     

     

     

     

     

     

Childhood Obesity

     

     

     

     

     

     

Diabetes

     

     

     

     

     

     

Heart Disease

     

     

     

     

     

     

Lead Poisoning

     

     

     

     

     

     

Low birth weight

     

     

     

     

     

     

Source : County and State Health Departments

Date Documented:      


County:      

Race:


White

Native American

African American

Hispanic

Asian American/

Pacific Islander

Other

Indicator

Incidence

Per 1000

Incidence

Per 1000

Incidence

Per 1000

Incidence

Per 1000

Incidence

Per 1000

Incidence

Per 1000

Asthma hospitalization

     

     

     

     

     

     

Childhood Obesity

     

     

     

     

     

     

Diabetes

     

     

     

     

     

     

Heart Disease

     

     

     

     

     

     

Lead Poisoning

     

     

     

     

     

     

Low birth weight

     

     

     

     

     

     

Source : County and State Health Departments

Date Documented:      



Factor 4 – Leveraging Resources


Name and contact information of the organization or entity that will partner with applicant

Work To Be Accomplished In Support of the Program

Value of In-Kind or Cash Match Contribution*

Additional Leveraged Funds Contribution

Total of Match and Leveraged Contributions



Name:      

     

     

     

     

Type of Organization      

Partner Receiving Award Grant Funds:

Yes No

Address:      

City:      

State:      

Zip Code:      

Phone Number:      

Fax Number:      

Email:      



Name:      

     


     

     

     

Type of Organization      

Partner Receiving Award Grant Funds:

Yes No

Address:      

City:      

State:      

Zip Code:      

Phone Number:      

Fax Number:      

Email:      



Name:      

     


     

     

     

Type of Organization      

Partner Receiving Award Grant Funds:

Yes No

Address:      

City:      

State:      

Zip Code:      

Phone Number:      

Fax Number:      

Email:      



Name:      

     


     

     

     

Type of Organization      

Partner Receiving Award Grant Funds:

Yes No

Address:      

City:      

State:      

Zip Code:      

Phone Number:      

Fax Number:      

Email:      



Name:      

     


     

     

     

Type of Organization      

Partner Receiving Award Grant Funds:

Yes No

Address:      

City:      

State:      

Zip Code:      

Phone Number:      

Fax Number:      

Email:      



Name:      

     


     

     

     

Type of Organization      

Partner Receiving Award Grant Funds:

Yes No

Address:      

City:      

State:      

Zip Code:      

Phone Number:      

Fax Number:      

Email:      




Total Amount

     

     

     


Factor 5 – Achieving Results and Program Evaluation


Regional planning issue to be addressed

Long-term outcome desired

Livability Principle(s) addressed

HUD goals addressed

Applicable Activity in the Regional Plan for Sustainable Development

Anticipated 6-month progress

Measure of progress

Anticipated 12-month progress

Measure of progress

Anticipated 24-month progress

Measure of progress

Disconnection between low- and moderate-income workforce to employment options (sample)

      1. Increased proportion of low- and very-low income households within to  transit commute of major employment centers (sample)

Providing More Transportation Choices; Increasing Economic Competitiveness

Strengthen Communities.
(2) Enhance sustainability of communities by expanding economic opportunities.


Workforce Transportation 2020 plan that cements agreements between major employers and regional transit agency (sample)

Identify potential long term employers willing to participate in program; secure participation of transit agency (sample)

Letters of commitment from participating agencies

Convene working group that has 4-month charge to develop agreements to incorporate into the RPSD (sample)

Summaries of meetings; strategic plan outline

Draft plan submitted to leadership Team for review and incorporation into the RPSD – review process commenced (sample)

Draft plan, ratification by RPSD

     


      1. Creation of shared elements in regional transportation, housing, water, and air quality plans tied to local comprehensive land use.

     


     


     


     


     


     


     


     


     


     


      1. Reduced social land economic disparities for the low-income and communities of color within the target region.

     


     


     


     


     


     


     


     


     


     


      1. Decrease in per capita VMT and transportation-related emissions for the region.

     


     


     


     


     


     


     


     


     


     


      1. Decrease in combined housing and transportation costs per household.

     


     


     


     


     


     


     


     


     


     


      1. Increased participation and decision-making in developing and implementing a long range vision for the region by populations traditionally marginalized in public planning processes.

     


     


     


     


     


     


     


     


     


     


      1. Increased proportion of low-and very-low income households within to transit commute or major employment centers.

     


     


     


     


     


     


     


     


     



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File Modified0000-00-00
File Created0000-00-00

© 2024 OMB.report | Privacy Policy